Abstract
The prevalence of food allergy (FA) is increasing, and there is an urgent need to take effective measures against it. One important measure is the avoidance diet, which shows a disadvantage, especially in case of accidental exposure. Oral tolerance restoration sheds new light on the control of FA. Oral tolerance is naturally a state of systemic unresponsiveness of the gastrointestinal tract to food antigens and its restoration can be a clinical therapy for FA. Its immune basis lies on the intestinal mucosal immune system and factors, such as gut microbiota and food processing methods, are also important. This review presents recent advances in oral tolerance and its closely related factors.
References
1.
Wambre E, Jeong D. Oral tolerance development and maintenance.
Immunol Allergy Clin North Am
. 2018 Feb;38(1):27–37.2.
Peters RL, Koplin JJ, Gurrin LC, Dharmage SC, Wake M, Ponsonby AL, et al. The prevalence of food allergy and other allergic diseases in early childhood in a population-based study: HealthNuts age 4-year follow-up.
J Allergy Clin Immunol
. 2017 Jul;140(1):145–e8.3.
Sasaki M, Koplin JJ, Dharmage SC, Field MJ, Sawyer SM, McWilliam V, et al. Prevalence of clinic-defined food allergy in early adolescence: the SchoolNuts study.
J Allergy Clin Immunol
. 2017 Jan;141(1):391–8.e4.4.
Okada Y, Yamashita T, Kumagai H, Morikawa Y, Akasawa A. Accurate determination of childhood food allergy prevalence and correction of unnecessary avoidance.
Allergy Asthma Immunol Res
. 2017 Jul;9(4):322–8.5.
Lyons SA, Burney PGJ, Ballmer-Weber BK, Fernandez-Rivas M, Barreales L, Clausen M, et al. Food allergy in adults: substantial variation in prevalence and causative foods across europe.
J Allergy Clin Immunol Pract
. 2019 Jul–Aug;7(6):1920–e11.6.
Nachshon L, Schwartz N, Elizur A, Schon Y, Cheryomukhin M, Katz Y, et al. The prevalence of food allergy in young Israeli adults.
J Allergy Clin Immunol Pract
. 2019 Nov–Dec;7(8):2782–e4.7.
Botha M, Basera W, Facey-Thomas HE, Gaunt B, Gray CL, Ramjith J, et al. Rural and urban food allergy prevalence from the South African Food Allergy (SAFFA) study.
J Allergy Clin Immunol
. 2018 Feb;143(2):1–7.e2.8.
Gonçalves LC, Guimarães TC, Silva RM, Cheik MF, de Ramos Nápolis AC, Barbosa E Silva G, et al. Prevalence of food allergy in infants and pre-schoolers in Brazil.
Allergol Immunopathol
. 2016 Nov–Dec;44(6):497–503.9.
Sampson HA. Food allergy: past, present and future.
Allergol Int
. 2016 Oct;65(4):363–9.10.
Leung ASY, Wong GWK, Tang MLK. Food allergy in the developing world.
J Allergy Clin Immunol
. 2018 Jan;141(1):76–e1.11.
Grabenhenrich LB, Dölle S, Moneret-Vautrin A, Köhli A, Lange L, Spindler T, et al. Anaphylaxis in children and adolescents: the European Anaphylaxis Registry.
J Allergy Clin Immunol
. 2016 Apr;137(4):1128–e1.12.
Turner PJ, Gowland MH, Sharma V, Ierodiakonou D, Harper N, Garcez T, et al. Increase in anaphylaxis-related hospitalizations but no increase in fatalities: an analysis of United Kingdom national anaphylaxis data, 1992–2012.
J Allergy Clin Immunol
. 2015 Apr;135(4):956–e1.13.
Rueter K, Ta B, Bear N, Lucas M, Borland ML, Prescott SL. Increased use of adrenaline in the management of childhood anaphylaxis over the last decade.
J Allergy Clin Immunol Pract
. 2018 Sep–Oct;6(5):1545–52.14.
Hochstadter E, Clarke A, De Schryver S, LaVieille S, Alizadehfar R, Joseph L, et al. Increasing visits for anaphylaxis and the benefits of early epinephrine administration: a 4-year study at a pediatric emergency department in Montreal, Canada.
J Allergy Clin Immunol
. 2016 Jun;137(6):1888–e4.15.
Motosue MS, Bellolio MF, Van Houten HK, Shah ND, Campbell RL. National trends in emergency department visits and hospitalizations for food-induced anaphylaxis in US children.
Pediatr Allergy Immunol
. 2018 Aug;29(5):538–44.16.
Jiang N, Yin J, Wen L, Li H. Characteristics of anaphylaxis in 907 Chinese patients referred to a tertiary allergy center: a retrospective study of 1952 episodes.
Allergy Asthma Immunol Res
. 2016 Jul;8(4):353–61.17.
Srisuwatchari W, Vichyanond P. Oral food challenges: result of a 16-year experience at a major teaching hospital in Thailand.
Asia Pac allergy
. 2018 Apr;8(2):e21.18.
Lee SY, Ahn K, Kim J, Jang GC, Min TK, Yang HJ, et al. A multicenter retrospective case study of anaphylaxis triggers by age in Korean children.
Allergy Asthma Immunol Res
. 2016 Nov;8(6):535–40.19.
Ebisawa M, Ito K, Fujisawa T. Japanese guidelines for food allergy 2017.
Allergol Int
. 2017 Apr;66(2):248–64.20.
dos Santos SC, Konstantyner T, Cocco RR. Effects of probiotics in the treatment of food hypersensitivity in children: a systematic review.
Allergol Immunopath
. 2020 Jan–Feb;48(1):95–104.21.
Freeland DMH, Minogue HF, Nadeau KC. Advances in food allergy oral immunotherapy: towards tolerance.
Curr Opin Immunol
. 2016 Oct;42:119–23.22.
Sharquie IK, Al-Ghouleh A, Fitton P, Clark MR, Armour KL, Sewell HF, et al. An investigation into IgE-facilitated allergen recognition and presentation by human dendritic cells.
BMC immunol
. 2013 Dec;14(1):54.23.
Wells HG, Osborne TB. The biological reactions of the vegetable proteins I. anaphylaxis.
J Infect Dis
. 1911 Jan;8(1):66–124.24.
Tordesillas L, Berin MC. Mechanisms of oral tolerance.
Clin Rev Allergy Immunol
. 2018 Oct;55(2):107–17.25.
Rivas MN, Burton OT, Wise P, Charbonnier LM, Georgiev P, Oettgen HC, et al. Regulatory T cell reprogramming toward a Th2 cell like lineage impairs oral tolerance and promotes food allergy.
Immunity
. 2015 Mar;42(3):512–23.26.
Burton OT, Noval Rivas M, Zhou JS, Logsdon SL, Darling AR, Koleoglou KJ, et al. Immunoglobulin E signal inhibition during allergen ingestion leads to reversal of established food allergy and induction of regulatory T cells.
Immunity
. 2014 Jul;41(1):141–51.27.
Santos AF, Brough HA. Making the most of in vitro tests to diagnose food allergy.
J Allergy Clin Immunol Pract
. 2017 Mar–Apr;5(2):237–48.28.
Palmer DJ, Prescott SL. Does early feeding promote development of oral tolerance?
Curr Allergy Asthma Rep
. 2012 Aug;12(4):321–31.29.
Du Toit G, Roberts G, Sayre PH, Bahnson HT, Radulovic S, Santos AF, et al. Randomized trial of peanut consumption in infants at risk for peanut allergy.
N Engl J Med
. 2015 Feb;372(9):803–13.30.
Kattan J. The prevalence and natural history of food allergy.
Curr Allergy Asthma Rep
. 2016 Jun;16(7):47.31.
Ruiter B, Knol EF, van Neerven RJ, Garssen J, Bruijnzeel-Koomen CA, Knulst AC, et al. Maintenance of tolerance to cow’s milk in atopic individuals is characterized by high levels of specific immunoglobulin G4.
Clin Exp Allergy
. 2007 Jul;37(7):1103–10.32.
Tan J, Mckenzie C, Vuillermin PJ, Goverse G, Vinuesa CG, Mebius RE, et al. Dietary fiber and bacterial SCFA enhance oral tolerance and protect against food allergy through diverse cellular pathways.
Cell Rep
. 2016 Jun;15(12):2809–24.33.
Liu G, Hu M, Sun LC, Han X, Liu Q, Alcocer M, et al. Allergenicity and oral tolerance of enzymatic cross-linked tropomyosin evaluated using cell and mouse models.
J Agric Food Chem
. 2017 Mar;65(10):2205–13.34.
Luyt D, Bravin K, Luyt J. Implementing specific oral tolerance induction to milk into routine clinical practice: experience from first 50 patients.
J Asthma Allergy
. 2014 Jan;7:1–9.35.
Dello Iacono I, Tripodi S, Calvani M, Panetta V, Verga MC, Miceli Sopo S. Specific oral tolerance induction with raw hen’s egg in children with very severe egg allergy: a randomized controlled trial.
Pediatr Allergy Immunol
. 2013 Feb;24(1):66–74.36.
Peters RL, Dang TD, Allen KJ. Specific oral tolerance induction in childhood.
Pediatr Allergy Immunol
. 2016 Dec;27(8):784–94.37.
Ahluwalia B, Magnusson MK, Öhman L. Mucosal immune system of the gastrointestinal tract: maintaining balance between the good and the bad.
Scand J Gastroenterol
. 2017 Nov;52(11):1185–93.38.
Tokuhara D, Kurashima Y, Kamioka M, Nakayama T, Ernst P, Kiyono H. A comprehensive understanding of the gut mucosal immune system in allergic inflammation.
Allergol Int
. 2019 Jan;68(1):17–25.39.
Spencer J, Macdonald TT, Finn T, Isaacson PG. The development of gut associated lymphoid tissue in the terminal ileum of fetal human intestine.
Clin Exp Immunol
. 1986 Jun;64(3):536–43.40.
Nagai M, Noguchi R, Takahashi D, Morikawa T, Koshida K, Komiyama S, et al. Fasting-refeeding impacts immune cell dynamics and mucosal immune responses.
Cell
. 2019 Aug;178(5):1072–e14.41.
Spahn TW, Fontana A, Faria AM, Slavin AJ, Eugster HP, Zhang X, et al. Induction of oral tolerance to cellular immune responses in the absence of Peyer’s patches.
Eur J Immunol
. 2001 Apr;31(4):1278–87.42.
Pardo-Camacho C, González-Castro AM, Rodiño-Janeiro BK, Pigrau M, Vicario M. Epithelial immunity: priming defensive responses in the intestinal mucosa.
Am J Physiol Gastrointest Liver Physiol
. 2017 Feb;314(2):ajpgi–2016.43.
Wershil BK, Furuta GT. 4. Gastrointestinal mucosal immunity.
J Allergy Clin Immunol
. 2008 Feb;121(2 Suppl):S380–3.44.
Cheroutre H, Lambolez F, Mucida D. The light and dark sides of intestinal intraepithelial lymphocytes.
Nat Rev Immunol
. 2011 Jun;11(7):445–56.45.
Kim M, Galan C, Hill AA, Wu WJ, Fehlner-Peach H, Song HW, et al. Critical role for the microbiota in CX3CR1+ intestinal mononuclear phagocyte regulation of intestinal T cell responses.
Immunity
. 2018 Jul;49(1):151–e5.46.
Antoni L, Nuding S, Wehkamp J, Stange EF. Intestinal barrier in inflammatory bowel disease.
World J Gastroenterol
. 2014 Feb;20(5):1165–79.47.
Satitsuksanoa P, Jansen K, Głobińska A, van de Veen W, Akdis M. Regulatory immune mechanisms in tolerance to food allergy.
Front Immunol
. 2018 Dec;9:2939.48.
Uto T, Takagi H, Fukaya T, Nasu J, Fukui T, Miyanaga N, et al. Critical role of plasmacytoid dendritic cells in induction of oral tolerance.
J Allergy Clin Immunol
. 2018 Jun;141(6):2156–e9.49.
Wu ZQ. Antigen specific immunotherapy generates CD27+ CD35+ tolerogenic dendritic cells.
Cell Immunol
. 2013 Jun;283(1–2):75–80.50.
Shakhar G, Kolesnikov M. Intestinal macrophages and DCs close the gap on tolerance.
Immunity
. 2014 Feb;40(2):171–3.51.
Mora JR, Iwata M, Eksteen B, Song SY, Junt T, Senman B, et al. Generation of gut-homing IgA-secreting B cells by intestinal dendritic cells.
Science
. 2006 Nov;314(5802):1157–60.52.
Tu L, Chen J, Zhang H, Duan L. Interleukin-4 inhibits regulatory T cell differentiation through regulating CD103+ dendritic cells.
Front Immunol
. 2017 Mar;8:214.53.
Cerovic V, Houston SA, Scott CL, Aumeunier A, Yrlid U, Mowat AM, et al. Intestinal CD103− dendritic cells migrate in lymph and prime effector T cells.
Mucosal Immunol
. 2013 Jan;6(1):104–13.54.
Shik D, Tomar S, Lee JB, Chen CY, Smith A, Wang YH. IL-9-producing cells in the development of IgE-mediated food allergy.
Semin Immunopathol
. 2017 Jan;39(1):69–77.55.
Berin MC, Shreffler W. T(H) 2 adjuvants: implications for food allergy.
J Allergy Clin Immunol
. 2008 Jun;121(6):1311–20.56.
Chiang D, Chen X, Jones SM, Wood RA, Sicherer SH, Burks AW, et al. Single-cell profiling of peanut-responsive T cells in patients with peanut allergy reveals heterogeneous effector TH2 subsets.
J Allergy Clin Immunol
. 2018 Jun;141(6):2107–20.57.
Weissler KA, Rasooly M, Dimaggio T, Bolan H, Cantave D, Martino D, et al. Identification and analysis of peanut-specific effector T and regulatory T cells in children allergic and tolerant to peanut.
J Allergy Clin Immunol
. 2018 May;141(5):1699–e7.58.
Khodoun MV, Tomar S, Tocker JE, Wang YH, Finkelman FD. Prevention of food allergy development and suppression of established food allergy by neutralization of thymic stromal lymphopoietin, IL-25, and IL-33.
J Allergy Clin Immunol
. 2018 Jan;141(1):171–e1.59.
Breslin M, Pons L, Yue X, Kulis M, Jones SM, Vickery B, et al. Peanut oral immunotherapy (OIT) confers long-term tolerance mediated by decreased T-helper type 2 (TH2) cytokines and cytokines generated by regulatory T cells (Tregs).
J Allergy Clin Immunol
. 2010 Feb;125(2):AB20.60.
Palomares O. The role of regulatory T cells in IgE-mediated food allergy.
J Investig Allergol Clin Immunol
. 2013 Jan;23(6):371–82.61.
Bonnet B, Vigneron J, Levacher B, Vazquez T, Pitoiset F, Brimaud F, et al. Low-dose IL-2 induces regulatory T cell-mediated control of experimental food allergy.
J Immunol
. 2016 Jul;197(1):188–98.62.
Kim KS, Hong SW, Han D, Yi J, Jung J, Yang BG, et al. Dietary antigens limit mucosal immunity by inducing regulatory T cells in the small intestine.
Science
. 2016 Feb;351(6275):858–63.63.
Dang TD, Allen KJ, J Martino D, Koplin JJ, Licciardi PV, Tang ML. Food-allergic infants have impaired regulatory T-cell responses following in vivo allergen exposure.
Pediatr Allergy Immunol
. 2016 Feb;27(1):35–43.64.
Karlsson MR, Rugtveit J, Brandtzaeg P. Allergen-responsive CD4+CD25+ regulatory T cells in children who have outgrown cow’s milk allergy.
J Exp Med
. 2004 Jun;199(12):1679–88.65.
Wawrzyniak M, O’mahony L, Akdis M. Role of regulatory cells in oral tolerance.
Allergy Asthma Immunol Res
. 2017 Mar;9(2):107–15.66.
Weiner HL. Oral tolerance: immune mechanisms and the generation of Th3-type TGF-beta-secreting regulatory cells.
Microbes Infect
. 2001 Sep;3(11):947–54.67.
Pérez-Machado MA, Ashwood P, Thomson MA, Latcham F, Sim R, Walker-Smith JA, et al. Reduced transforming growth factor-beta1-producing T cells in the duodenal mucosa of children with food allergy.
Eur J Immunol
. 2003 Aug;33(8):2307–15.68.
Holvoet S, Perrot M, de Groot N, Prioult G, Mikogami T, Verhasselt V, et al. Oral tolerance induction to newly introduced allergen is favored by a transforming growth factor-β-enriched formula.
Nutrients
. 2019 Sep;11(9):2210.69.
Carrier Y, Yuan J, Kuchroo VK, Weiner HL. Th3 cells in peripheral tolerance. I. Induction of Foxp3-positive regulatory T cells by Th3 cells derived from TGF-β T cell-transgenic mice.
J Immunol
. 2007 Jan;178(1):179–85.70.
Penttila IA. Milk-derived transforming growth factor-beta and the infant immune response.
J Pediatr
. 2010 Feb;156(2 Suppl):S21–5.71.
Khaleva E, Gridneva Z, Geddes DT, Oddy WH, Colicino S, Blyuss O, et al. Transforming growth factor beta in human milk and allergic outcomes in children: a systematic review.
Clin Exp Allergy
. 2019 Sep;49(9):1201–13.72.
Groux H, O’Garra A, Bigler M, Rouleau M, Antonenko S, de Vries JE, et al. A CD4+ T-cell subset inhibits antigen-specific T-cell responses and prevents colitis.
Nature
. 1997 Oct;389(6652):737–42.73.
Tsuji NM, Mizumachi K, Kurisaki J. Interleukin-10-secreting Peyer’s patch cells are responsible for active suppression in low-dose oral tolerance.
Immunology
. 2001 Aug;103(4):458–64.74.
Bergerson JR, Erickson K, Singh AM. Tr1 cell identification and phenotype in children with and without food allergy.
J Allergy Clin Immunol
. 2017 Feb;139(2):AB70.75.
Tiemessen MM, Van Ieperen-Van Dijk AG, Bruijnzeel-Koomen CA, Garssen J, Knol EF, Van Hoffen E. Cow’s milk-specific T-cell reactivity of children with and without persistent cow’s milk allergy: key role for IL-10.
J Allergy Clin Immunol
. 2004 May;113(5):932–9.76.
Oft M. Immune regulation and cytotoxic T cell activation of IL-10 agonists - Preclinical and clinical experience.
Semin Immunol
. 2019 Aug;44:101325.77.
Clarke K, Chintanaboina J. Allergic and immunologic perspectives of inflammatory bowel disease.
Clin Rev Allergy Immunol
. 2019 Oct;57(2):179–93.78.
Hartono S, Ippoliti MR, Mastroianni M, Torres R, Rider NL. Gastrointestinal disorders associated with primary immunodeficiency diseases.
Clin Rev Allergy Immunol
. 2019 Oct;57(2):145–65.79.
Chen B, Sun L, Zhang X. Integration of microbiome and epigenome to decipher the pathogenesis of autoimmune diseases.
J Autoimmun
. 2017 Sep;83:31–42.80.
Wang HG, Liu SP, Ma TH, Yan W, Zhou JF, Shi YT, et al. Fecal microbiota transplantation treatment for refractory ulcerative colitis with allergy to 5-aminosalicylic acid: a case report.
Medicine
. 2018 May;97(19):e0675.81.
Dzidic M, Abrahamsson TR, Artacho A, Collado MC, Mira A, Jenmalm MC. Oral microbiota maturation during the first 7 years of life in relation to allergy development.
Allergy
. 2018 Oct;73(10):2000–11.82.
Ho H-E, Bunyavanich S. Role of the microbiome in food allergy.
Curr Allergy Asthma Rep
. 2018 Apr;18(4):27.83.
Rodriguez B, Prioult G, Bibiloni R, Nicolis I, Mercenier A, Butel MJ, et al. Germ-free status and altered caecal subdominant microbiota are associated with a high susceptibility to cow’s milk allergy in mice.
FEMS Microbiol Ecol
. 2011 Apr;76(1):133–44.84.
Rodriguez B, Prioult G, Hacini-Rachinel F, Moine D, Bruttin A, Ngom-Bru C, et al. Infant gut microbiota is protective against cow’s milk allergy in mice despite immature ileal T-cell response.
FEMS Microbiol Ecol
. 2012 Jan;79(1):192–202.85.
Rautava S, Luoto R, Salminen S, Isolauri E. Microbial contact during pregnancy, intestinal colonization and human disease.
Nat Rev Gastroenterol Hepatol
. 2012 Oct;9(10):565–76.86.
Pannaraj PS, Li F, Cerini C, Bender JM, Yang S, Rollie A, et al. Association between breast milk bacterial communities and establishment and development of the infant gut microbiome.
JAMA Pediatr
. 2017 Jul;171(7):647–54.87.
Azad MB, Konya T, Guttman DS, Field CJ, Sears MR, HayGlass KT, et al. Infant gut microbiota and food sensitization: associations in the first year of life.
Clin Exp Allergy
. 2015;45(3):632–43.88.
Abrams EM, Greenhawt M, Fleischer DM, Chan ES. Early solid food introduction: role in food allergy prevention and implications for breastfeeding.
J Pediatr
. 2017 May;184:13–8.89.
Burgess JA, Dharmage SC, Allen K, Koplin J, Garcia-Larsen V, Boyle R, et al. Age at introduction to complementary solid food and food allergy and sensitization: a systematic review and meta-analysis.
Clin Exp Allergy
. 2019 Jun;49(6):754–69.90.
Soriano VX, Peters RL, Ponsonby AL, Dharmage SC, Perrett KP, Field MJ, et al. Earlier ingestion of peanut after changes to infant feeding guidelines: the EarlyNuts study.
J Allergy Clin Immunol
. 2019 Nov;144(5):1327–e5.91.
Greenhawt M. The national institutes of allergy and infectious diseases sponsored guidelines on preventing peanut allergy: a new paradigm in food allergy prevention.
Allergy Asthma Proc
. 2017 Mar;38(2):92–7.92.
Gao X, Yan Y, Zeng G, Sha T, Liu S, He Q, et al. Influence of prenatal and early-life exposures on food allergy and eczema in infancy: a birth cohort study.
BMC Pediatr
. 2019 Jul;19(1):239.93.
Monaco S, Russo G, Romano A, Liotti L, Verga MC, Miceli Sopo S. Yogurt is tolerated by the majority of children with IgE-mediated cow’s milk allergy.
Allergol Immunopathol
. 2019 Jul–Aug;47(4):322–7.94.
Küçükosmanoğlu E, Özen E, Eltan SB, Özkars MY, Keskin O. Most children who are allergic to cow’s milk tolerate yogurt.
J Int Med Res
. 2018 Dec;46(12):5099–106.95.
El-Qutob D. Shrimp allergy: beyond avoidance diet.
Eur Ann Allergy Clin Immunol
. 2017 Nov;49(6):252–6.96.
Upton J, Nowak-Wegrzyn A. The impact of baked egg and baked milk diets on IgE- and non-IgE-mediated allergy.
Clin Rev Allergy Immunol
. 2018 Oct;55(2):118–38.97.
Saifi M, Swamy N, Crain M, Brown LS, Bird JA. Tolerance of a high-protein baked-egg product in egg-allergic children.
Ann Allergy Asthma Immunol
. 2016 May;116(5):415–9.98.
Sopo SM, Greco M, Cuomo B, Bianchi A, Liotti L, Monaco S, et al. Matrix effect on baked egg tolerance in children with IgE-mediated hen’s egg allergy.
Pediatr Allergy Immunol
. 2016 Aug;27(5):465–70.99.
Capucilli P, Cianferoni A, Fiedler J, Gober L, Pawlowski N, Ram G, et al. Differences in egg and milk food challenge outcomes based on tolerance to the baked form.
Ann Allergy Asthma Immunol
. 2018 Nov;121(5):580–7.100.
Leonard SA, Sampson HA, Sicherer SH, Noone S, Moshier EL, Godbold J, et al. Dietary baked egg accelerates resolution of egg allergy in children.
J Allergy Clin Immunol
. 2012 Aug;130(2):473–e1.101.
Pérez-Quintero O, Martinez-Azcona O, Balboa V, Vila L. Daily baked egg intake may accelerate the development of tolerance to raw egg in egg-allergic children.
Eur J Pediatr
. 2020 Apr;179(4):679–82.102.
Lemon-Mulé H, Sampson HA, Sicherer SH, Shreffler WG, Noone S, Nowak-Wegrzyn A. Immunologic changes in children with egg allergy ingesting extensively heated egg.
J Allergy Clin Immunol
. 2008 Nov;122(5):977–e1.103.
Sackesen C. Epidemiology of cow’s milk allergy: has it changed?
Clin Transl Allergy
. 2011 Aug;1(S1):S50.104.
Leonard SA, Nowak-Węgrzyn AH. Baked milk and egg diets for milk and egg allergy management.
Immunol Allergy Clin North Am
. 2016 Feb;36(1):147–59.105.
Uncuoglu A, Yologlu N, Simsek IE, Uyan ZS, Aydogan M. Tolerance to baked and fermented cow’s milk in children with IgE-mediated and non-IgE-mediated cow’s milk allergy in patients under two years of age.
Allergol Immunopathol
. 2017 Nov–Dec;45(6):560–6.106.
Barbosa CPG, Gushken AAKF, Yonamine GH, Castro APBM, Pastorino AC, Jacob CMA. Tolerance to baked milk in Brazilian children with persistent cow’s milk allergy.
Clin Transl Allergy
. 2015 Mar;5(3):S165.107.
Esmaeilzadeh H, Alyasin S, Haghighat M, Nabavizadeh H, Esmaeilzadeh E, Mosavat F. The effect of baked milk on accelerating unheated cow’s milk tolerance: a control randomized clinical trial.
Pediatr Allergy Immunol
. 2018 Nov;29(7):747–53.108.
Nowak-Węgrzyn A, Lawson K, Masilamani M, Kattan J, Bahnson HT, Sampson HA. Increased tolerance to less extensively heat-denatured (baked) milk products in milk-allergic children.
J Allergy Clin Immunol Pract
. 2018 Mar–Apr;6(2):486–e5.109.
Leonard SA. Debates in allergy medicine: baked milk and egg ingestion accelerates resolution of milk and egg allergy.
World Allergy Organ J
. 2016 Jan;9:1.110.
Luyt D, Ball H, Makwana N, Green MR, Bravin K, Nasser SM, et al. BSACI guideline for the diagnosis and management of cow’s milk allergy.
Clin Exp Allergy
. 2014 Mar;44(5):642–72.111.
Andrews T, Banks JR. Dietary baked milk accelerates the resolution of cow’s milk allergy in children.
Pediatrics
. 2012 Oct;130(1):S13.112.
Leonard SA. Baked egg and milk exposure as immunotherapy in food allergy.
Curr Allergy Asthma Rep
. 2016 Apr;16(4):32.113.
Konstantinou GN. Safety and efficacy balance of baked milk and egg oral immunotherapy.
Curr Treat Options Allergy
. 2017 Aug;4(3):370–82.114.
Goldberg MR, Nachshon L, Appel MY, Elizur A, Levy MB, Eisenberg E, et al. Efficacy of baked milk oral immunotherapy in baked milk-reactive allergic patients.
J Allergy Clin Immunol
. 2015 Dec;136(6):1601–6.115.
Sopo SM, Greco M, Monaco S, Bianchi A, Cuomo B, Liotti L, et al. Matrix effect on baked milk tolerance in children with IgE cow milk allergy.
Allergol Immunopath
. 2016 Nov–Dec;44(6):517–23.116.
Lambert R, Grimshaw KEC, Ellis B, Jaitly J, Roberts G. Evidence that eating baked egg or milk influences egg or milk allergy resolution: a systematic review.
Clin Exp Allergy
. 2017 Jun;47(6):829–37.117.
Des Roches A, Nguyen M, Paradis L, Primeau MN, Singer S. Tolerance to cooked egg in an egg allergic population.
Allergy
. 2006 Jul;61(7):900–1.118.
Ballmer-Weber BK, Brockow K, Fiocchi A, Theler B, Vogel L, Ring J, et al. Hydrolysed egg displays strong decrease in allergenicity and is well tolerated by egg-allergic patients.
Allergy
. 2016 May;71(5):728–32.119.
Bartnikas LM, Sheehan WJ, Larabee KS, Petty C, Schneider LC, Phipatanakul W. Ovomucoid is not superior to egg white testing in predicting tolerance to baked egg.
J Allergy Clin Immunol Pract
. 2013 Jul–Aug;1(4):354–60.120.
Turner PJ, Mehr S, Joshi P, Tan J, Wong M, Kakakios A, et al. Safety of food challenges to extensively heated egg in egg-allergic children: a prospective cohort study.
Pediatr Allergy Immunol
. 2013 Aug;24(5):450–5.121.
Buelow BJ, Lee C, Zafra HT, Dasgupta M, Hoffmann RG, Vasudev M. Egg baked in product open oral food challenges are safe in selected egg-allergic patients.
Allergy Rhinol
. 2014 Jul;5(2):110–2.122.
Cortot CF, Sheehan WJ, Permaul P, Friedlander JL, Baxi SN, Gaffin JM, et al. Role of specific IgE and skin-prick testing in predicting food challenge results to baked egg.
Allergy Asthma Proc
. 2012 May–Jun;33(3):275–81.123.
Lieberman JA, Huang FR, Sampson HA, Nowak-Węgrzyn A. Outcomes of 100 consecutive open, baked-egg oral food challenges in the allergy office.
J Allergy Clin Immunol
. 2012 Jun;129(6):1682–e2.124.
Miceli Sopo S, Romano A, Bersani G, Fantacci C, Badina L, Longo G, et al. Cooking influence in tolerance acquisition in egg-induced acute food protein enterocolitis syndrome.
Allergol Immunopathol
. 2019 May–Jun;47(3):221–6.125.
Sirin Kose S, Asilsoy S, Uzuner N, Karaman O, Anal O. Outcomes of baked milk and egg challenge in cow’s milk and hen’s egg allergy: can tolerance be predicted with allergen-specific IgE and prick-to-prick test?
Int Arch Allergy Immunol
. 2019 Oct;180(4):264–73.126.
Kim JS, Nowak-Węgrzyn A, Sicherer SH, Noone S, Moshier EL, Sampson HA. Dietary baked milk accelerates the resolution of cow’s milk allergy in children.
J Allergy Clin Immunol
. 2011 Jul;128(1):125–e2.127.
Bartnikas LM, Sheehan WJ, Hoffman EB, Permaul P, Dioun AF, Friedlander J, et al. Predicting food challenge outcomes for baked milk: role of specific IgE and skin prick testing.
Ann Allergy Asthma Immunol
. 2012 Nov;109(5):309–e1.128.
Mehr S, Turner PJ, Joshi P, Wong M, Campbell DE. Safety and clinical predictors of reacting to extensively heated cow’s milk challenge in cow’s milk-allergic children.
Ann Allergy Asthma Immunol
. 2014 Oct;113(4):425–9.129.
Gruzelle V, Juchet A, Martin-Blondel A, Michelet M, Chabbert-Broue A, Didier A. Benefits of baked milk oral immunotherapy in French children with cow’s milk allergy.
Pediatr Allergy Immunol
. 2020 May;31(4):364–70.130.
Stavroulakis G, Giavi S, Douladiris N, Manousakis M, Papadopoulos NG. Fish allergy-natural history and crossreactivity between fish species.
Clin Transl Allergy
. 2011 Feb;1(S1):O26.131.
Bernhisel-Broadbent J, Strause D, Sampson HA. Fish hypersensitivity. II: clinical relevance of altered fish allergenicity caused by various preparation methods.
J Allergy Clin Immunol
. 1992 Oct;90(4 Pt 1):622–9.© 2021 S. Karger AG, Basel
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